杭州高速公路交通事故流行病学特点分析

目的:研究杭州高速公路交通事故的流行病学特点。方法:收集了2003—2006年杭州高速公路交通事故资料并对其进行流行病学分析。结果:①2003—2006年期间,发生交通事故8906起,涉及车辆12692辆,死亡115人,受伤1976人,造成直接经济损失1.15亿元;②交通事故以10月和1月发生最多,每周事故数呈逐渐上升趋势,9:00—11:00点和14:00—16:00点为事故的高发时段;③因驾驶员造成的交通事故超过事故总数的90%,主要原因为未保持安全的纵向距离和操作不当;车辆原因主要为爆胎和制动问题、天气及照明对事故有一定影响;④在高速公路交通事故中,乘客与驾驶员受到的危害程度相同。结论:研究高速公路交通事故的流行病学特点将有利于采取科学的措施减小高速公路交通事故给社会带来的危害。     

Detection of the toughest: Pedestrian injury risk as a smooth function of age

Objective: Though it is common to refer to age-specific groups (e.g., children, adults, elderly), smooth trends conditional on age are mainly ignored in the literature. The present study examines the pedestrian injury risk in full-frontal pedestrian-to–passenger car accidents and incorporates age—in addition to collision speed and injury severity—as a plug-in parameter.

Methods: Recent work introduced a model for pedestrian injury risk functions using explicit formulae with easily interpretable model parameters. This model is expanded by pedestrian age as another model parameter. Using the German In-Depth Accident Study (GIDAS) to obtain age-specific risk proportions, the model parameters are fitted to the raw data and then smoothed by broken-line regression.

Results: The approach supplies explicit probabilities for pedestrian injury risk conditional on pedestrian age, collision speed, and injury severity under investigation. All results yield consistency to each other in the sense that risks for more severe injuries are less probable than those for less severe injuries. As a side product, the approach indicates specific ages at which the risk behavior fundamentally changes. These threshold values can be interpreted as the most robust ages for pedestrians.

Conclusions: The obtained age-wise risk functions can be aggregated and adapted to any population. The presented approach is formulated in such general terms that in can be directly used for other data sets or additional parameters; for example, the pedestrian's sex. Thus far, no other study using age as a plug-in parameter can be found.     

我国区域道路交通安全形势对比与影响因素分析

根据2007年的政府统计数据,将全国划分为4个社会经济发展区域,并对比各区域道路交通的发展状况与安全形势,然后运用SPSS统计软件分析道路交通安全评价参数与社会经济发展水平之间的相关性。发现社会经济发展梯次靠前的区域,其道路交通与安全状况也相对较好;GDP、人口、机动车保有量、机动车驾驶证普及率、道路条件和交通运输规模等因素分别对交通事故的死亡人数、万车死亡率、亿元GDP死亡率和百公里道路死亡率等指标具有显著影响。针对各区域的道路交通安全现状,必须进一步加快交通基础与安全设施建设,建立和完善交通事故紧急救援体系,加强交通安全宣传、教育、管理以及区域间的交流与合作。     

Spatial analysis of mortality rate of pedestrian accidents in Iran during 2012–2013

Objectives: Considering the high mortality rate of pedestrians in traffic accidents in Iran, the present study aimed to determine the high-risk and low-risk areas of accidents resulting in pedestrian deaths and the spatial analysis of their mortality rates.

Methods: This cross-sectional study included 4,371 deceased pedestrians reported by the Legal Medicine Organization in Iran from March 2012 to March 2013. For spatial analysis, the collected data were entered into ArcGIS software version 10.2 and a spatial map of the mortality rate was drawn according to the distribution of data in the provinces. Using this software, high-risk and low-risk areas were identified by calculating the spatial autocorrelation of the data. The Moran’s index of road accident patterns was surveyed and high-risk and low-risk points were identified using the local Getis index.

Results: The age-standardized incidence rate was 6.8 per 100,000. After analyzing the data using ArcGIS software, the local Moran’s index showed a cluster pattern with a high mortality rate in 3 provinces of Mazandaran, Gilan, and Qazvin. In identifying high-risk and low-risk points, the local Getis index showed 3 hot spots with a confidence interval of 99% in Qom, Qazvin, and Mazandaran and 5 hot spots with a 95% confidence interval in Markazi, Tehran, Zanjan, Gilan, and Golestan provinces.

Conclusions: According to the cluster pattern of accidents in the 3 provinces and the presence of hot spots in 9 provinces, it is necessary to identify factors that increase the risk of death in the study provinces in order to reduce the mortality rate among pedestrians due to traffic accidents. Therefore, to reduce the pedestrian mortality rate, especially in high-risk provinces, some studies need to be conducted to determine the risk factors in pedestrian mortality.     

国外乡村公路交通安全水平

收集和整理了美国、加拿大、英国、澳大利亚等国关于乡村公路交通安全的管理和研究成果;归纳国外乡村公路的定义;分析乡村公路在交通事故数量、伤亡人数、死伤率等方面的基本情况。笔者通过对国外乡村公路交通安全水平研究,有如下3个结论:第一,目前还没有一个被普遍接受的乡村公路的定义;第二,乡村公路的交通事故后果比城市道路严重得多;第三,乡村公路交通安全水平提高的速度比城市道路慢;吸取国外乡村公路交通安全管理经验,为我国农村公路交通安全水平的改善提供有益的借鉴。     

Risky behaviors and helmet use among young adolescent motorcyclists in Southern Thailand

Background: In Thailand, road traffic injuries are the leading cause of death for youth ages 15–19 years, with 80% of the injuries and deaths from motorcycle accidents. Objectives: To determine the prevalence of child and young adolescent motorcyclists in Hat Yai municipality and their risk behaviors. Method: A cross-sectional study was conducted between June 2011 and March 2012 in which 2,471 students, ages 8 to 18 years, were recruited from 9 primary and secondary schools in Hat Yai municipality. The questionnaire included questions on being a motorcycle rider or passenger, risky behaviors, and helmet use while riding. Results: Of the total, 1,573 (63.7%) were riders and 898 (36.3%) were pillion passengers. The majority of the riders younger than 15 years rode their motorcycle mainly only in narrow streets for a short trip. Only 30% of the riders wore a helmet every time they rode a motorcycle. About 10% of the participants riding or a passenger on a motorcycle had consumed alcohol at least once before riding their motorcycle. Multiple logistic regression analysis found that motorcycle injuries were significantly associated with speeds greater than 60 km/h, not wearing a helmet while riding, and alcohol consumption before riding (odds ratios 1.63, 1.59, and 3.09, respectively). Conclusion: Nearly two thirds of young adolescents in Hat Yai municipality were motorcycle riders. These young adolescents were at risk of traffic injuries because more than 50% of them had ridden at high speed or not worn a helmet while riding, and some of them had consumed alcohol before riding.     

Assessment of patients' medical fitness to drive by primary care physicians: A cross-sectional study

Objectives: Motor vehicle collisions (MVCs) are a significant health burden in Saudi Arabia. The literature has consistently indicated that chronic medical conditions, such as diabetes, heart disease, stroke, obstructive sleep apnea, and neurodevelopmental disorders, increase the risk of MVCs. Therefore, assessment of driver fitness by primary care physicians (PCPs) remains a major health intervention that might reduce MVCs. We studied the practices of PCPs in assessing medical fitness to drive in at-risk patients.

Methods: We conducted a cross-sectional study of all 88 government-funded primary care centers in the city of Riyadh, Saudi Arabia. We administered a self-reported questionnaire to PCPs that inquired about their driving risk assessment for specific medical conditions.

Results: Among all PCPs and centers, 189 PCPs (63%) from 74 centers (84%) participated in our survey. The mean age of the PCPs was 40 ± 10 years, and 108 (57%) were men. The average clinical experience of the group was 13 ± 9 years. Fewer than half of PCPs considered diabetes mellitus (45%) and obstructive sleep apnea (46%) as potential risks for MVCs. Approximately 45% of PCPs did not notify any authority or relatives of potential driving issues that they noticed in their patients. Only 15% of the participants believed that PCPs were responsible for alerting authorities about their fitness to drive.

Conclusions: PCPs did not adequately assess their patients' driving history and eligibility. Efforts are needed to improve awareness among PCPs regarding the effects of chronic medical conditions on driving.     

基于灰色马尔可夫的道路交通事故预测

探讨灰色马尔可夫模型在道路交通事故中的具体应用。灰色模型适用于短期、数据量少和波动不大的预测问题,在长期预测时,数据序列拟合较差,预测精度偏低;而马尔可夫链适用于长期、数据序列随机波动大的预测问题。灰色马尔可夫模型结合了灰色GM(1,1)模型和马尔可夫理论的优点,利用灰色模型进行长期预测,再利用马尔可夫链理论进行波动状态预测,最后得到期望值。该模型克服了随机波动性数据对道路交通事故预测精度的影响,提高了灰色预测的准确度。实例结果,证明灰色马尔可夫GM(1,1)模型具有较好的应用价值,为道路交通安全管理提供了有用依据。     

我国道路交通安全的国际比较研究

我国的道路交通事故是严重的。在对我国道路交通事故特点进行比较研究的基础上，分析了道路交通事故多发的原因，提出了提高道路交通系统安全性的建议。     

城市道路养护作业对驾驶员安全驾驶的影响

从市政养护的满意度、驾驶员行为调查以及城市交通标志识别等方面展开调查,发现私家车、公交车和出租车对道路养护作业的满意度存在显著差异,3类车型的驾驶员在安全驾驶行为上也存在明显差异。私家车驾驶员的驾驶失误行为明显高于出租车和公交车驾驶员。违规越多的驾驶员,其驾驶攻击性行为越强。同时道路养护中的常见标志对不同类型的驾驶员产生不同的信息量。私家车驾驶员对于交通标志的理解程度明显高于出租车和公交车驾驶员。     

Driving concerns among older adults: Associations with driving skill,behaviors, and experiences

Objectives: The purpose of this investigation was to determine what older adults find most concerning about driving as they age and how these concerns are related to driving skill, behaviors, and experiences.

Methods: In partnership with the Maryland Motor Vehicle Administration, a sample of 751 older adults ages 65 and older completed an online survey between October 2017 and May 2018. A content analysis was used to code open-ended responses about driver concerns, and multivariate logistic regression models were used to analyze the associations between driving concerns and driving skill, behavior, and experiences.

Results: Eighty-four percent of participants reported at least one driving concern, with 44% concerned about others’ driving, 34% concerned about their own driving, and 24% concerned about driving conditions. The most frequently mentioned driving concerns were other drivers in general, driving at night, visual ability and awareness, and other drivers being aggressive or reckless. Being concerned with their own driving was significantly associated with decreased perceived driving skill and increased odds of experiencing negative driving experiences in the past year. Being concerned about others’ driving was associated with increased odds of wearing a seat belt (adjusted odds ratio [AOR]?=?2.67; 95% confidence interval [CI], 1.02, 7.00), having high perceived driving skills in emergency situations (AOR = 1.56; 95% CI, 1.14, 2.12), and getting in a near crash or collision in the past year (AOR = 1.50; 95% CI, 1.04, 2.18).

Conclusions: Older adult drivers are frequently concerned about their own driving as well as the driving of others. Implications for future research and health practice are discussed.     

基于粗糙集理论的路段交通事故多发点成因分析

交通事故多为多种原因综合造成且具有不确定性。判别各因素对于引发交通事故的影响程度存在困难,因此,需要引入不确定性分析方法。基于粗糙集理论具有处理不精确、不确定与不完全数据的优势,是一种先进的并处于不断发展的不确定性分析和推理方法。笔者提出路段上交通事故成因分析的模型和方法。具体做法是,根据该路段事故多发点的统计数据建立基于粗糙集理论的决策表,再利用粗糙集模型的简约算法求出各个因素的重要性,从而判断各因素对交通事故的影响程度大小,为决策提供依据。以算例说明模型和方法的可用性。     

Parental risk perceptions of childhood pedestrian road safety: a cross cultural comparison

INTRODUCTION: This cross-sectional community-based randomized telephone survey, aimed to compare the parental risk perceptions on childhood pedestrian road safety among three different major community language speaking groups and the mainstream English speaking Australians in Sydney, Australia. METHOD: This was a community-based telephone survey with subjects randomly selected from the population of specific cultural languages in Sydney. RESULTS: Results indicated that Chinese and Arabic speaking parents or caregivers perceived the road environments as significantly less hazardous for their 4-12 year old children as pedestrians when compared with Vietnamese and English speaking parents. This was true even after adjusting for the age of child, socioeconomic status, and the living environments of respondents. CONCLUSION: The implication of the results was discussed in light of possible application to childhood safety behavior across different cultures. IMPACT TO THE INDUSTRY: The results obtained have highlighted the importance of cultural factors in risk perceptions, and safety behaviors. Cultural differences in risk perceptions should be taken into consideration in the design of safety education programs.     

A criterion for developing credible accident scenarios for risk assessment

Maximum credible accident analysis is one of the most widely used concepts in risk assessment of chemical process industries. Central to this concept is the aspect of ‘credibility’ of envisaged accident scenarios. However, thus far the term credibility is mostly treated qualitatively, based on the subjective judgement of the concerned analysts. This causes wide variation in the results of the studies conducted on the same industrial unit by different analysts.

This paper presents an attempt to develop a criterion using which credible accident scenarios may be identified from among a large number of possibilities. The credible scenarios thus identified may then be processed for detailed consequence analysis. This would help in reducing the cost of the analysis and prevent undue emphasis on less credible scenarios at the expense of more credible ones.     

Effectiveness of primary enforcement safety belt laws and enhanced enforcement of safety belt laws: a summary of the Guide to Community Preventive Services systematic reviews

BACKGROUND: The use of safety belts is the single most effective means of reducing fatal and nonfatal injuries in motor-vehicle crashes. This paper summarizes the systematic reviews of two interventions to increase safety belt use: primary enforcement safety belt laws and enhanced enforcement of safety belt laws. The reviews were previously published in the American Journal of Preventive Medicine. METHODS: We conducted the systematic reviews using the methodology developed for the Guide to Community Preventive Services. RESULTS: These reviews provide strong evidence that primary laws are more effective than secondary laws in increasing safety belt use and decreasing fatalities and that enhanced enforcement is effective in increasing safety belt use. Increases in belt use are generally highest in states with low baseline rates of belt use. DISCUSSION: Primary safety belt laws and enhanced enforcement programs tend to result in greater increases in usage rates for target groups with lower baseline rates. Concerns regarding public opposition to these interventions may impede their implementation in some jurisdictions. However, surveys indicate that a substantial majority of the public supports implementation of both primary laws and enhanced enforcement programs. CONCLUSION: Based on the strong evidence for effectiveness of primary safety belt laws and enhanced enforcement programs, the Task Force on Community Preventive Services recommended that all states enact primary safety belt laws and that communities implement enhanced enforcement programs.     

Mapping human vulnerability and risk due to chemical accidents

Chemical accidents in the vicinity of densely populated areas can cause colossal damage. Close proximity of chemical facilities to the general public has been identified as a major issue for increased human exposure in 43% of the accidents investigated by the U.S. Chemical Safety Board (CSB). This emphasises the need for incorporating societal factors in risk assessment to plan actions in order to minimise exposure during accidents. The purpose of this research is to develop a model for the assessment of human vulnerability and risk due to chemical accidents. A GIS based methodology is proposed which uses computer aided hazard modelling tools and technical guidelines to model accidents and assesses population vulnerability. The population vulnerability is determined based on a set of societal indicators derived from relevant research work, expert opinions and suggestions by World Bank. Risk is defined as the probable magnitude of harm to humans and dependent on both the degrees of hazard and vulnerability. A case study is carried out by applying the methodology to Meghnaghat Industrial Area in Bangladesh. Accident scenarios are built and hazard modelling software ALOHA is used to spatially display accident footprints. Vulnerability of population is assessed using data from Bangladesh Bureau of Statistics (BBS) and field survey. The hazard footprints and vulnerability map are superimposed using mapping software ArcGIS to generate a composite risk map. The risk map is used to assess existing land use and recommendations are made for future land use planning. The composite risk map is expected to be of help for effective community response, emergency response planning and allocation of medical and support services during emergencies.     

Highlights of LNG risk technology

The authors have recently undertaken a major review of LNG consequence modeling, compiling a wide range of historical information with more recent experiments and modeling approaches in a book entitled “LNG Risk-Based Safety: Modeling and Consequence Analysis”. All the main consequence routes were reviewed – discharge, evaporation, pool and jet fire, vapor cloud explosions, rollover, and Rapid Phase Transitions (RPT’s). In the book, experimental data bases are assembled for tests on pool spread and evaporation, burn rates, dispersion, fire and radiation and effects on personnel and structures. The current paper presents selected highlights of interest: lessons learned from historical development and experience, comparison of predictions by various models, varying mechanisms for LNG spread of water, a modeling protocol to enable acceptance of newer models, and unresolved technical issues such as cascading failures, fire engulfment of a carrier, the circumstances for a possible LNG BLEVE, and accelerated evaporation by LNG penetration into water.     

The influence of alcohol on pedestrians: A different approach to the effectiveness of the new traffic safety law

Objective: The aim of this study was to explore the effects of the new traffic safety law on pedestrian mortality by exploring hazardous behaviors of pedestrians in terms of alcohol use and blood alcohol concentration (BAC).

Methods: A retrospective autopsy study was performed, covering a 7-year period (from 2006 to 2012), including cases of fatally injured pedestrians who died at the scene of the incident. Blood samples obtained from the femoral vein during autopsy were analyzed for BAC. The entire sample was divided into 2 groups. The first included cases from 2006 to 2009, at which time the old traffic safety law was in force, and the second included cases from 2010 to 2012, under the new traffic safety law.

Results: A total of 247 cases were examined, covering a 7-year period. The average age was 57.5 ± 19.7 years (median 61.0 years) with a significant male predominance of 147 men to 100 women. This predominance also applied to alcohol use (54 vs. 13). The results show a significant decrease in the total annual number of fatally injured pedestrians, starting from 2009, compared to previous years, reaching a low in 2010, one year after implementation of the new traffic safety law. In contrast, the proportion of alcohol-intoxicated pedestrians showed no significant difference in the years preceding and following the new traffic safety law, nor did the annual distribution of BAC or mean BAC before and after application of the new law.

Conclusion: The present study indicates that the new traffic safety law has been quite effective in reducing pedestrian mortality. However, alcohol consumption and intoxication in pedestrians remains a fairly important factor in motor vehicle accidents involving pedestrians, because the proportion of pedestrians positive for alcohol, the proportion of severely intoxicated pedestrians with BAC > 1 g/L, and annual mean BAC have remained unchanged.     

On the development of a new hybrid risk assessment process using occupational accidents’ data: Application on the Greek Public Electric Power Provider

The occupational accidents have a major impact upon human integrity and also bring about high costs for the social health and insurance system of a country. In addition, risk analysis is an essential process for the safety policy of a company, having as main aim the effacement of any potential of damage in a productive procedure, while the quantified risk evaluation is the most crucial part of the whole procedure of assessing hazards in the work. The main goal of this study is double: a) the development and presentation of a new hybrid risk assessment process (HRAP) and b) the application of HRAP in the Greek Public Power Corporation (PPC) (the unique electric power provider and the largest industry in Greece), by using occupational accidents that have been recorded, during the 12-year period of 1993-2004. The new process consists of four distinct phases a) the hazard sources’ identification phase, b) the risk consideration phase, c) the risk-evaluation phase, and d) the phase of the risk assessment and safety-related decision making. The results show that in some cases the risk value has been calculated in PPC to be higher than 500 (in the risk rating of 0-1000), which imposes the taking of suppressive measures for abolishing the danger source, while the fatal accident frequency rate (per 10⁸ man-hrs) is FAFR ≅ 2.4.